Hematology, transfusion and cell therapy最新文献

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Cytogenetic findings in testicular relapse of multiple myeloma: case report and literature review. 多发性骨髓瘤睾丸复发的细胞遗传学发现:病例报告和文献综述。
Hematology, transfusion and cell therapy Pub Date : 2024-01-30 DOI: 10.1016/j.htct.2023.12.002
Marília Bazzo Catto, Roberta Maria da Silva Oliveira Safranauskas, Tarcila Santos Datoguia, Renata Kiyomi Kishimoto, Daniela Borri, Maria Gabriella Cordeiro, Anna Carolinne Leal do Nascimento, Nelson Hamerschlak, Elvira Deolinda Rodrigues Pereira Velloso
{"title":"Cytogenetic findings in testicular relapse of multiple myeloma: case report and literature review.","authors":"Marília Bazzo Catto, Roberta Maria da Silva Oliveira Safranauskas, Tarcila Santos Datoguia, Renata Kiyomi Kishimoto, Daniela Borri, Maria Gabriella Cordeiro, Anna Carolinne Leal do Nascimento, Nelson Hamerschlak, Elvira Deolinda Rodrigues Pereira Velloso","doi":"10.1016/j.htct.2023.12.002","DOIUrl":"https://doi.org/10.1016/j.htct.2023.12.002","url":null,"abstract":"","PeriodicalId":94026,"journal":{"name":"Hematology, transfusion and cell therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139944810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Telemedicine pre-screening for blood donor. 远程医疗献血者预检。
Hematology, transfusion and cell therapy Pub Date : 2024-01-30 DOI: 10.1016/j.htct.2023.11.013
Mariana Lorenzi Savioli, Araci Massami Sakashita, Andrea Neri Folchini Cipolletta, Rosane Camargo Tokimatsu de C Brandão, Jose Mauro Kutner
{"title":"Telemedicine pre-screening for blood donor.","authors":"Mariana Lorenzi Savioli, Araci Massami Sakashita, Andrea Neri Folchini Cipolletta, Rosane Camargo Tokimatsu de C Brandão, Jose Mauro Kutner","doi":"10.1016/j.htct.2023.11.013","DOIUrl":"https://doi.org/10.1016/j.htct.2023.11.013","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic had an important impact on blood bank services. The onset of the pandemic led to a decrease in the number of blood donors. A remote interview would avoid deferred donors from having to travel to the blood bank. We evaluate the feasibility of using telemedicine as an alternative to a face-to-face interview as a first blood donor screening.</p><p><strong>Methods: </strong>Our retrospective study included 404 whole blood and platelets donors, who underwent the clinical interview remotely via telemedicine. The deferred donor would not need to go to the blood bank and eligible candidates were required to donate within 7 days. On the day of donation, a mini-interview was held to ensure donor and blood safety.</p><p><strong>Results: </strong>The appointments were made from June 2020 to June 2022, including 263 candidates for whole blood (WB) and 141 for platelets (PLTs). At the end of the telemedicine interview, 285 (70.6 %) candidates were considered eligible. Telemedicine was not performed for 60 (14.8 %) candidates due to technical problems (with audio or video) or absences. The deferral rate among candidates who underwent telemedicine pre-screening was 14.6 % and, among eligible donors after telemedicine, only 7 (2.9 %) were unable to donate blood.</p><p><strong>Conclusion: </strong>Telemedicine is a viable alternative and a welcome convenience for potential donors to avoid unnecessary travel.</p>","PeriodicalId":94026,"journal":{"name":"Hematology, transfusion and cell therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between clinical outcomes, peripheral blood and cytomorphologic features of bone marrow in visceral leishmaniasis. 内脏利什曼病患者的临床结果、外周血和骨髓细胞形态学特征之间的关系。
Hematology, transfusion and cell therapy Pub Date : 2024-01-23 DOI: 10.1016/j.htct.2023.10.006
Maria Aline Ferreira De Cerqueira, Alaíde Maria Rodrigues Pinheiro, Dorcas Lamounier Costa, Carlos Henrique Nery Costa
{"title":"Association between clinical outcomes, peripheral blood and cytomorphologic features of bone marrow in visceral leishmaniasis.","authors":"Maria Aline Ferreira De Cerqueira, Alaíde Maria Rodrigues Pinheiro, Dorcas Lamounier Costa, Carlos Henrique Nery Costa","doi":"10.1016/j.htct.2023.10.006","DOIUrl":"https://doi.org/10.1016/j.htct.2023.10.006","url":null,"abstract":"<p><strong>Introduction: </strong>An intracellular parasite of mononuclear phagocytes, mainly distributed in the bone marrow and the spleen, causes visceral leishmaniasis. Complete blood count (CBC) reveals the poorly understood pathogenesis of anemia, leukopenia and thrombocytopenia. Our study aimed to compare the CBC with bone marrow cytomorphological features and their association with clinical outcomes to clarify this relevant issue.</p><p><strong>Methods: </strong>The CBC and bone marrow of 118 patients were described by two hematologists and compared to check their association with each other and mortality.</p><p><strong>Results: </strong>Peripheral cytopenias were common findings, particularly anemia, as seen in almost all patients. No relationship was found between values of hemoglobin, neutrophils and platelet count with fatal outcomes. The bone marrow was normocellular in 61.9% of the cases. Dysplasia figures were frequent and 49.1% of the samples had dysgranulopoiesis. Additionally, erythroid hyperplasia was found in 72% of the patients with severe anemia. Patients with reduced bone marrow cellularity, erythroid hypercellularity and dyserythropoiesis seem to have a riskier disease.</p><p><strong>Conclusion: </strong>The study results suggest that the bone marrow of patients with visceral leishmaniasis manifests a reactional pattern to the inflammatory event, thereby modulating cytokines and other colony growth factors. This compensatory response may be dysplastic and ineffective and generate peripheral cytopenias of varying intensity. Further studies are needed to clarify the signaling pathways involved, which may be used as therapeutic tools in the future.</p>","PeriodicalId":94026,"journal":{"name":"Hematology, transfusion and cell therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of C-reactive protein and its prognostic relationship in patients with Hodgkin's Lymphoma. 评估霍奇金淋巴瘤患者的 C 反应蛋白及其与预后的关系。
Hematology, transfusion and cell therapy Pub Date : 2024-01-20 DOI: 10.1016/j.htct.2023.11.011
Elizete Aparecida da Silva Negreiros, Talita Máira Bueno da Silveira, Sérgio Costa Fortier, Carlos Sérgio Chiattone
{"title":"Evaluation of C-reactive protein and its prognostic relationship in patients with Hodgkin's Lymphoma.","authors":"Elizete Aparecida da Silva Negreiros, Talita Máira Bueno da Silveira, Sérgio Costa Fortier, Carlos Sérgio Chiattone","doi":"10.1016/j.htct.2023.11.011","DOIUrl":"https://doi.org/10.1016/j.htct.2023.11.011","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the prognostic value of C-Reactive Protein (CRP), at diagnosis and during follow-up, of patients with Hodgkin´s Lymphoma treated at the Hematology Service of the Santa Casa de São Paulo Hospital, and to correlate serum CRP levels with disease stage and treatment response.</p><p><strong>Methods: </strong>A retrospective study involving review of 71 medical records of patients diagnosed with Hodgkin´s Lymphoma between February 2012 and January 2016 was performed. Three patients were subsequently excluded, giving a total of 68 patients for analysis. A level of CRP > 1mg/dl was considered elevated.</p><p><strong>Results: </strong>Patients were predominantly male (61.8%) and mean age was 34 years. Fifty-three (78%) patients had advanced stage and (76.5%) had B symptoms. Elevated baseline CRP was associated with greater likelihood of B symptoms (p= 0.02) and of advanced stage (p= 0.015). Patients with Low CRP level after 5th and 6th cycles of chemotherapy was associated with complete response (p=0.04 and p=0.03, respectively). Treatment-refractory patients had greater risk of death (p=0.002).</p><p><strong>Conclusion: </strong>CRP is clinically important for follow-up of patients with Hodgkin´s Lymphoma, where high levels were associated with advanced disease and/or presence of B symptoms. CRP level was considered a predictor of treatment response. Persistence of high CRP values during treatment was associated with refractoriness.</p>","PeriodicalId":94026,"journal":{"name":"Hematology, transfusion and cell therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of mass cytometry to characterize hematopoietic stem cells in apheresis products of patients with hematological malignancies. 应用质谱细胞计数法确定血液恶性肿瘤患者无细胞采集产品中造血干细胞的特征。
Hematology, transfusion and cell therapy Pub Date : 2023-12-29 DOI: 10.1016/j.htct.2023.10.008
Carlos Agustin Villegas-Valverde, Antonio Alfonso Bencomo-Hernandez, Yandy M Castillo-Aleman, Yendry Ventura-Carmenate, Imilla Casado-Hernandez, Rene Antonio Rivero-Jimenez
{"title":"Application of mass cytometry to characterize hematopoietic stem cells in apheresis products of patients with hematological malignancies.","authors":"Carlos Agustin Villegas-Valverde, Antonio Alfonso Bencomo-Hernandez, Yandy M Castillo-Aleman, Yendry Ventura-Carmenate, Imilla Casado-Hernandez, Rene Antonio Rivero-Jimenez","doi":"10.1016/j.htct.2023.10.008","DOIUrl":"https://doi.org/10.1016/j.htct.2023.10.008","url":null,"abstract":"<p><strong>Introduction: </strong>Hematopoietic stem cell transplantation (HSCT) is a widely used therapy, but its success largely depends on the number and quality of stem cells collected. Current evidence shows the complexity of the hematopoietic system, which implies that, in the quality assurance of the apheresis product, the hematopoietic stem cells are adequately characterized and quantified, in which mass cytometry (MC) can provide its advantages in high-dimensional analysis.</p><p><strong>Objective: </strong>This research aimed to characterize and enumerate CD45<sup>dim</sup>/CD34<sup>+</sup> stem cells using the MC in apheresis product yields from patients with chronic lymphoid malignant diseases undergoing autologous transplantation at the Abu Dhabi Stem Cells Center.</p><p><strong>Methods: </strong>An analytical and cross-sectional study was performed on 31 apheresis products from 15 patients diagnosed with multiple myeloma (n = 9) and non-Hodgkin lymphomas (n = 6) eligible for HSCT. The MC was employed using the MaxPar Kit for stem cell immunophenotyping. The analysis was performed manually in the Kaluza and unsupervised by machine learning in Cytobank Premium.</p><p><strong>Results: </strong>An excellent agreement was found between mass and flow cytometry for the relative and absolute counts of CD45<sup>dim</sup>/CD34<sup>+</sup> cells (Bland-Altman bias: -0.029 and -64, respectively), seven subpopulations were phenotyped and no lineage bias was detected for any of the methods used in the pool of collected cells. A CD34+/CD38+/CD138+ population was seen in the analyses performed on four patients with multiple myeloma.</p><p><strong>Conclusions: </strong>The MC helps to characterize subpopulations of stem cells in apheresis products. It also allows cell quantification by double platform. Unsupervised analysis allows results completion and validation of the manual strategy. The proposed methodology can be extended to apheresis products for purposes other than HSCT.</p>","PeriodicalId":94026,"journal":{"name":"Hematology, transfusion and cell therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139099423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute myeloid leukemia-derived bone marrow mesenchymal cells exhibit improved support for leukemic cell proliferation. 急性髓性白血病衍生的骨髓间充质细胞对白血病细胞增殖有更好的支持作用。
Hematology, transfusion and cell therapy Pub Date : 2023-12-27 DOI: 10.1016/j.htct.2023.10.007
Mariane Cristina do Nascimento, Diego A Pereira-Martins, João Agostinho Machado-Neto, Eduardo M Rego
{"title":"Acute myeloid leukemia-derived bone marrow mesenchymal cells exhibit improved support for leukemic cell proliferation.","authors":"Mariane Cristina do Nascimento, Diego A Pereira-Martins, João Agostinho Machado-Neto, Eduardo M Rego","doi":"10.1016/j.htct.2023.10.007","DOIUrl":"https://doi.org/10.1016/j.htct.2023.10.007","url":null,"abstract":"<p><strong>Introduction: </strong>The bone marrow (BM) microenvironment plays a significant role in acute myeloid leukemia (AML) genesis and there is evidence that BM mesenchymal stromal cells (BMMSCs) can support leukemia progenitor cell proliferation and survival and provide resistance to cytotoxic therapies.</p><p><strong>Hypothesis and method: </strong>Nevertheless, currently unknown are the relevance of the spatial localization of AML cells relative to the BMMSCs and whether BMMSCs from patients with AML and healthy subjects have similar properties. To address these issues, we performed a differential gene expression analysis using RNA-sequencing data generated from healthy donors (HDs) and leukemic BMMSCs.</p><p><strong>Results: </strong>The Gene Set Enrichment Analysis (GSEA) revealed that leukemic BMMSCs were associated with the terms \"positive regulation of cell cycle\", \"angiogenesis\" and \"signaling by the estimated glomerular filtration rate (eGFR)\", whereas healthy donor (HD)-derived BMMSCs were associated with \"programmed cell death in response to the reactive oxygen species (ROS)\", \"negative regulation of the cytochrome C from the mitochondria\" and \"interferon signaling\". Next, we evaluated the mitochondrial superoxide production in AML cells in a co-culture layered model. The superoxide production was reduced in leukemic cells in close contact (adhered to the surface or beneath the cell layer) with BMMSCs, indicating lower oxidative stress.</p><p><strong>Conclusion: </strong>Taken together, our results suggest that AML-derived BMMSCs are transcriptionally rewired and can reduce the metabolic stress of leukemic cells.</p>","PeriodicalId":94026,"journal":{"name":"Hematology, transfusion and cell therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SLC14A1 gene sequencing shows the JK*01W.06 allele in a JK1 patient with an anti-JK1 SLC14A1 基因测序结果显示,一名 JK1 患者体内存在 JK*01W.06 等位基因,并患有抗 JK1
Hematology, transfusion and cell therapy Pub Date : 2023-12-01 DOI: 10.1016/j.htct.2023.10.004
R. Soleimani, Julien Cabo, Alex Frelik, Cécile Debry, Catherine Mbende, Jacques Delcourt, Nicolas Debortoli, Edith Renguet, A. Devey, François Mullier, Jonathan Degosserie, L. M. Y. Banuls
{"title":"SLC14A1 gene sequencing shows the JK*01W.06 allele in a JK1 patient with an anti-JK1","authors":"R. Soleimani, Julien Cabo, Alex Frelik, Cécile Debry, Catherine Mbende, Jacques Delcourt, Nicolas Debortoli, Edith Renguet, A. Devey, François Mullier, Jonathan Degosserie, L. M. Y. Banuls","doi":"10.1016/j.htct.2023.10.004","DOIUrl":"https://doi.org/10.1016/j.htct.2023.10.004","url":null,"abstract":"","PeriodicalId":94026,"journal":{"name":"Hematology, transfusion and cell therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139016670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spontaneous epidural hematoma in a patient with sickle cell anemia - Case report 镰状细胞贫血患者自发性硬膜外血肿 - 病例报告
Hematology, transfusion and cell therapy Pub Date : 2023-12-01 DOI: 10.1016/j.htct.2023.09.2369
Victoria Carneiro Lintz, Patricia Belintani Blum
{"title":"Spontaneous epidural hematoma in a patient with sickle cell anemia - Case report","authors":"Victoria Carneiro Lintz, Patricia Belintani Blum","doi":"10.1016/j.htct.2023.09.2369","DOIUrl":"https://doi.org/10.1016/j.htct.2023.09.2369","url":null,"abstract":"","PeriodicalId":94026,"journal":{"name":"Hematology, transfusion and cell therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138620113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Functional characterization of compound heterozygosity Hb S/Hb Deer Lodge in Brazil 巴西 Hb S/Hb Deer Lodge 复合杂合子的功能特征
Hematology, transfusion and cell therapy Pub Date : 2023-12-01 DOI: 10.1016/j.htct.2023.09.2370
Marcondes J. Sobreira, Thais H C Batista, Rodrigo M. Santana, G. S. Arcanjo, Susan E. Jorge, Magnun N. N. dos Santos, D. M. Albuquerque, B. L. Hatzlhofer, Ana C. Anjos, Fernando F. Costa, A. Araújo, M. Sonati, A. Lucena-Araújo, Marcos A. Bezerra
{"title":"Functional characterization of compound heterozygosity Hb S/Hb Deer Lodge in Brazil","authors":"Marcondes J. Sobreira, Thais H C Batista, Rodrigo M. Santana, G. S. Arcanjo, Susan E. Jorge, Magnun N. N. dos Santos, D. M. Albuquerque, B. L. Hatzlhofer, Ana C. Anjos, Fernando F. Costa, A. Araújo, M. Sonati, A. Lucena-Araújo, Marcos A. Bezerra","doi":"10.1016/j.htct.2023.09.2370","DOIUrl":"https://doi.org/10.1016/j.htct.2023.09.2370","url":null,"abstract":"","PeriodicalId":94026,"journal":{"name":"Hematology, transfusion and cell therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138621524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical and prognostic significance of CD27 and CD44 expression patterns in Egyptian pediatric patients with B-precursor acute lymphoblastic leukemia 埃及儿科 B 前体急性淋巴细胞白血病患者 CD27 和 CD44 表达模式的临床和预后意义
Hematology, transfusion and cell therapy Pub Date : 2023-12-01 DOI: 10.1016/j.htct.2023.10.003
Asmaa Abobakr, Randa A. Osman, Mohamed A.M. Kamal, Sayed Abed Hameed, Hagar H. Fahim, Mahmoud M. Kamel, K. Alsharif, Nema R. Hamad
{"title":"Clinical and prognostic significance of CD27 and CD44 expression patterns in Egyptian pediatric patients with B-precursor acute lymphoblastic leukemia","authors":"Asmaa Abobakr, Randa A. Osman, Mohamed A.M. Kamal, Sayed Abed Hameed, Hagar H. Fahim, Mahmoud M. Kamel, K. Alsharif, Nema R. Hamad","doi":"10.1016/j.htct.2023.10.003","DOIUrl":"https://doi.org/10.1016/j.htct.2023.10.003","url":null,"abstract":"","PeriodicalId":94026,"journal":{"name":"Hematology, transfusion and cell therapy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138618887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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